Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $137.57 / $14,844.22	Facility		$74.36	$137.57	$14,844.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $89.23	Professional		$74.36	$74.45	$89.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $74.45 / $138.22	Professional		$74.45	$74.45	$138.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $74.36 / $85.00	Facility		$70.15	$74.36	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Professional		$74.36	$74.36	$74.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Facility		$74.36	$74.36	$74.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.18 / $74.36 / $74.36	Professional		$37.18	$74.36	$74.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $71.58 / $119.31	Professional		$18.29	$71.58	$119.31
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $82.78	Professional		$74.36	$78.81	$82.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $74.45	Professional		$74.36	$74.45	$74.45